Provider / Organization | NPI | Date Certified |
---|---|---|
KRYSTINE MARIE MUHA | 1841870235 | 2021-04-10 |
Krystine Marie Muha is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1841870235. Registration indicates Krystine Marie Muha is a provider of access to mental health/behavioral health providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Psych/Mental Health, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Psych/Mental Health, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
Entity Type | Individual |
Provider Name | Ms. Krystine Marie Muha NP |
Practice Office Address | 50339 MARGARET AVE MACOMB, MI US |
Practice Office Telephone | 5866909607 |
Mailing Address | 15855 19 MILE RD CLINTON TWP, MI 480383504 US |
Business Telephone | 5862632300 |
Address | City / State | Phone / Fax |
---|---|---|
15855 19 Mile Rd | Clinton Township, MI 480383504 | 5862632300 |
Email [] | [email protected] | Health Information Exchange (HIE) Henry Ford Hospital |
Code | Practice | License No State |
---|---|---|
363LP0808X PRIMARY | Access to Mental Health/Behavioral Health Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Psych/Mental Health All Other Specialties & Provider Types Nurse Practitioner Psych/Mental Health Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 4704208498
MI |